Indiana § 27-1-44.5-2 "Health payer"

Indiana Statutes

§ 27-1-44.5-2 — "Health payer"

Indiana § 27-1-44.5-2

Title 27INSURANCE

Art. 1DEPARTMENT OF INSURANCE

Ch. 44.5All Payer Claims Data Base

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Bluebook

Ind. Code § 27-1-44.5-2 (2026).

Text

As used in this chapter, "health payer" includes the following:

(1)Medicare.

(2)Medicaid or a managed care organization (as defined in IC 12-7-2-126.9) that has contracted with Medicaid to provide services to a Medicaid recipient.

(3)An insurer that issues a policy of accident and sickness insurance (as defined in IC 27-8-5-1), except for the following types of coverage:

(A)Accident only, credit, dental, vision, long term care, or disability income insurance.

(B)Coverage issued as a supplement to liability insurance.

(C)Automobile medical payment insurance.

(D)A specified disease policy.

(E)A policy that provides indemnity benefits not based on any expense incurred requirements, including a plan that provides coverage for:

(i)hospital confinement, critical illness, or intensive ca

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As used in this chapter, "health payer"
includes the following:
(1) Medicare.
(2) Medicaid or a managed care organization (as defined in IC 12-7-2-126.9) that has contracted with Medicaid to provide
services to a Medicaid recipient.
(3) An insurer that issues a policy of accident and sickness
insurance (as defined in IC 27-8-5-1), except for the following
types of coverage:
(A) Accident only, credit, dental, vision, long term care, or
disability income insurance.
(B) Coverage issued as a supplement to liability insurance.
(C) Automobile medical payment insurance.
(D) A specified disease policy.
(E) A policy that provides indemnity benefits not based on any
expense incurred requirements, including a plan that provides
coverage for:
(i) hospital confinement, critical illness, or intensive care; or
(ii) gaps for deductibles or copayments.
(F) Worker's compensation or similar insurance.
(G) A student health plan.
(H) A supplemental plan that always pays in addition to other
coverage.
(4) A health maintenance organization (as defined in IC 27-13-1-19).
(5) A pharmacy benefit manager (as defined in IC 27-1-24.5-12).
(6) An administrator (as defined in IC 27-1-25-1).
(7) A multiple employer welfare arrangement (as defined in IC 27-1-34-1).
(8) An employee benefit plan that is subject to the federal
Employee Retirement Income Security Act of 1974 (29 U.S.C.
1001 et seq.), including a third party administrator of an employee
benefit plan.
(9) A state employee health plan (as defined in IC 5-10-8-6.7(a)).
(10) An insurance producer, for purposes of the required
reporting under IC 27-1-15.6-13.6.
(11) Any other person identified by the commissioner for
participation in the data base described in this chapter.